JASON T SPROUSE M.D.
NPI 1912963687
Pathology - Anatomic Pathology & Clinical Pathology in Asheville, NC

Active since April 21, 2006PECOS EnrolledAccepts Medicare Assignment
93.51/100
CMS Quality Rating
291 SWEETEN CREEK ROAD, ASHEVILLE, NC 28803(828) 254-0881(828) 254-1614 Get Directions Write a Review

NPPES record last updated: October 23, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Aug 12, 2025, Mar 1, 2023, Sep 28, 2022 and 1 more (4 updates tracked since 2021).

About Jason T Sprouse M.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JASON T SPROUSE M.D. (NPI 1912963687) is an individual anatomic pathology & clinical pathology provider in Asheville, North Carolina, licensed in North Carolina (200100284) and active in the NPI registry since April 2006. He is enrolled in Medicare PECOS, maintains 2 additional practice locations, and is a graduate of University Of North Carolina At Chapel Hill School Of Medicine (1996).

NPPES Registry Identity

NPI1912963687
Entity TypeIndividualMale
Primary Taxonomy207ZP0102X
Provider Legal NameJASON T SPROUSECredential: M.D.
Location Address291 SWEETEN CREEK ROADAsheville, NC 28803-1527
Mailing Address291 Sweeten Creek RdAsheville, NC 28803-1527 · (828) 254-0881 · Fax (828) 254-1614
Fax(828) 254-1614
Sole ProprietorNo
Medical School CMSUniversity Of North Carolina At Chapel Hill School Of MedicineGraduated 1996
Enumeration DateApril 21, 2006
Last NPPES UpdateOctober 23, 20254 updates tracked since enumeration
NPPES CertifiedOctober 23, 2025
NPI 1912963687 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPathology · Anatomic Pathology & Clinical PathologyAllopathic & Osteopathic Physicians
Taxonomy Code207ZP0102X
License Licensed in NC · 200100284
Definition
A pathologist deals with the causes and nature of disease and contributes to diagnosis, prognosis and treatment through knowledge gained by the laboratory application of the biologic, chemical and physical sciences. A pathologist uses information gathered from the microscopic examination of tissue specimens, cells and body fluids, and from clinical laboratory tests on body fluids and secretions for the diagnosis, exclusion and monitoring of disease.
291 SWEETEN CREEK ROAD, Asheville, NC 28803

Secondary Practice Locations 2

Location 1188 Medical Park Drive, Ste ABrevard, NC 28712-4188 · Phone (828) 883-9600 · Fax (828) 254-1614
Location 21032 Fleming StreetHendersonville, NC 28791-3532 · Phone (828) 696-3099 · Fax (828) 696-3868

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Jason T Sprouse M.d. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID4486682754
PECOS Enrollment IDI20050801000580
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims 4

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Pathology examination of tissue using a microscope, intermediate complexity 88305
A pathology examination of tissue with intermediate complexity involves studying a small sample of your body tissue under a microscope. This helps in identifying any abnormal cells or signs of disease. It's a detailed process requiring expert analysis to ensure accurate results.
8,848 services4,224 patients
Special stained specimen slides to examine tissue, each additional procedure 88341
Special stained specimen slides are used to analyze tissue in detail. In this process, extra procedures may be needed for a more thorough examination. These involve applying special stains to the tissue on slides, enhancing specific elements for closer study.
182 services47 patients
Special stained specimen slides to examine tissue, initial procedure 88342
This procedure involves the use of specially stained slides to examine tissue samples. The initial process involves obtaining a small tissue sample from your body. This sample is then placed on a slide and stained with special dyes to highlight different structures and elements. The stained slide is then examined under a microscope to help diagnose any potential health issues.
131 services91 patients
Special stained specimen slides to identify organisms including interpretation and report 88312
This service involves coloring specimen slides in a special way to help identify organisms. The colors make different parts of the organism stand out. Afterward, a detailed interpretation and report on the findings are provided.
14 services13 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 28803 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$125.01 typical visit price
range $54.12 – $165.09
Typical copayment $31.25 (range $13.53 – $41.27)
Most-billed visit code 99204
Established Patient
$95.94 typical visit price
range $17.21 – $134.61
Typical copayment $23.98 (range $4.30 – $33.65)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

93.51/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality84.23
Promoting Interoperability100
Improvement Activities40

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Internal Medicine (Gastroenterology)
291 SWEETEN CREEK ROAD
ASHEVILLE, NC 28803
Internal Medicine (Gastroenterology)
291 SWEETEN CREEK ROAD
ASHEVILLE, NC 28803
Clinic/Center (Ambulatory Surgical)
291 SWEETEN CREEK ROAD
ASHEVILLE, NC 28803
Nurse Anesthetist, Certified Registered
291 SWEETEN CREEK ROAD
ASHEVILLE, NC 28803
Internal Medicine (Gastroenterology)
291 SWEETEN CREEK ROAD
ASHEVILLE, NC 28803
Nurse Anesthetist, Certified Registered
291 SWEETEN CREEK ROAD
ASHEVILLE, NC 28803
Nurse Anesthetist, Certified Registered
291 SWEETEN CREEK ROAD
ASHEVILLE, NC 28803
Physician Assistant
291 SWEETEN CREEK ROAD
ASHEVILLE, NC 28803

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jason Sprouse's NPI number?

The NPI number for Jason Sprouse is 1912963687. It was assigned to this individual provider in the NPPES registry on April 21, 2006.

Where is Jason Sprouse located?

Jason Sprouse practices at 291 Sweeten Creek Road, Asheville, NC 28803. The listed phone number is (828) 254-0881.

What is Jason Sprouse's specialty?

The primary specialty registered for this NPI is Pathology, specializing in Anatomic Pathology & Clinical Pathology, with taxonomy code 207ZP0102X.

Is Jason Sprouse enrolled in Medicare?

Yes. Jason Sprouse is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Jason Sprouse accept?

Health plans from Blue Cross and Blue Shield of NC list Jason Sprouse as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Jason Sprouse was last updated on October 23, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.